Wagatsuma S, Yaegashi N, Namiki T, Sato S, Yajima A
Department of Obstetrics and Gynecology, Tohoku University, School of Medicine, Sendai.
Tohoku J Exp Med. 1997 Mar;181(3):371-7. doi: 10.1620/tjem.181.371.
We report a 63-year-old woman with a female adnexal tumor of probable Wolffian origin, which arose within the leaves of the broad ligament, connected to the left ovary and the fallopian tube. She remains alive without evidence of disease 2 years after left salpingo-oophorectomy without subsequent adjuvant therapy. Microscopically, tumor cells were arranged in three different patterns; closely packed tubules, solid, and sieve-like. Cells had uniform round or oval nuclei and mitoses were rare. Although the majority of these tumors are benign, a few cases have shown malignant potential. Therefore, such tumors should receive careful follow-up for possible recurrence and/or metastasis.
我们报告了一名63岁女性，患有可能起源于沃尔夫管的女性附件肿瘤，该肿瘤发生于阔韧带叶内，与左侧卵巢和输卵管相连。在未进行后续辅助治疗的情况下，她在接受左侧输卵管卵巢切除术后2年仍存活，且无疾病证据。显微镜下，肿瘤细胞呈三种不同模式排列：紧密排列的小管状、实性和筛状。细胞具有均匀的圆形或椭圆形细胞核，有丝分裂罕见。尽管这些肿瘤大多数是良性的，但少数病例显示有恶变潜能。因此，此类肿瘤应密切随访，以观察是否可能复发和/或转移。
